ES2970333T3 - Integrated device for non-invasive personalized treatment of skin blemishes and associated multi-step method - Google Patents

Abstract

Integrated device for non-invasive personalized treatment of skin blemishes that includes: a handpiece (2) to perform a percussion treatment on the body/face, causing microtrauma in the wrinkle groove, facilitating natural recovery and reducing the depth of wrinkles; a handpiece (3) for performing an ablative microvibration treatment on the body, suitable for expanding or compacting skin tissue, relieving wrinkles, stretch marks and scars with an exfoliating effect; a handpiece (4) to perform a compressive microvibration treatment on the face, dilating the pores of the epidermis; a device for adjusting the rotation and vibration of the handpieces (2-3-4); an electrical energy absorption sensor for each handpiece (2-3-4), communicating the detected data to a control unit which acts on the frequency adjustment devices, obtaining a variation in the rotation and vibration frequency of the handpiece. the rotors (2.11-3.10-4.9), depending on the mechanical resistance of the skin tissue; a communication interface (5). (Automatic translation with Google Translate, without legal value)

Description

DESCRIPTION

Integrated device for non-invasive personalized treatment of skin blemishes and associated multi-step method

Technical field

The present invention is related to the field of aesthetic and sports medicine, as well as rehabilitation. In particular, it describes a device suitable for recognizing and treating, by means of compressive microvibration, some diseases, such as cellulite, tissue recompaction, lymphatic and venous stasis, edematosis, muscle and scar contractures, shoulder-neck syndrome and pubalgia. Other fields of application of this device are preoperative treatments for athletes, sports massage, lymphatic drainage and the treatment of pain of various origins.

State of the art

The so-called cellulitis, also called “gynoid lipodystrophy”, “fibrous edematous panniculopathy”, “edematous adiposis”, “sclerotic fibrous edematous panniculopathy”, “dermopaniculosis deformaos”, “status protrusions cutis”, and “liposclerosis”, is a topographic manifestation of the skin associated with frequent depressions or introflexions in the pelvic and abdominal areas, hips, buttocks and thighs. It can also manifest itself in association with nodules in the subcutaneous adipose tissue and, rarely, with a suspicion of an inflammatory condition.

The great confusion over the name that should be given to cellulite reflects the difficulty of correctly understanding the nature of the phenomenon. Despite the great interest in the treatment of this condition and the enormous market for topical treatments aimed at improving its appearance, cellulite remains an enigmatic condition for medical researchers.

The high incidence (80-90%) in the female population that presents cellulite spots in the post-pubertal age, in addition to the fact that it occurs without symptoms, means that it is considered a normal physiological condition. On the other hand, it can be considered in a pathological framework, pointing out that, although it is true that it is a normal condition for many women, it is not for all, and that in its most serious forms it manifests itself with painful nodules on palpation that raise suspicion. inflammatory processes. Likewise, it is generally associated with an excessive accumulation of subcutaneous adipose tissue whose relationship with cardiovascular risk is unclear.

Dozens of hypotheses have been formulated about the causes, including: metabolic disorders, nutritional disorders, specific subcutaneous architectures, alterations in the structure of the connective tissue, hormonal factors, genetic factors, disorders of the microcirculatory system, alterations of the lymphatic system, alterations of the extracellular matrix, inflammation.

The classifications of cellulite are as follows:

edematous: that is, associated with an accumulation of fluids, especially around the ankles, calves, thighs and arms.

fibrous: that is, associated with an increase in trabecular structures and connective tissue septa that divide the subcutaneous adipose tissue into several lobes; Fibrous cellulite is characterized by small nodules that are not perceptible to the touch, except as subcutaneous roughness, and by orange peel skin.

sclerotic: that is, associated with a hardening of the tissues associated with large nodules and plaques; This form can be very painful.

Several measures can help prevent cellulite. A little attention to diet, constant physical activity, the use of comfortable and not too tight clothing, shoes with heels that are not too high and changes in posture are the easiest remedies to put into practice to prevent this annoying disorder. The huge market for cellulite reduction treatments ranges from topical products to liposuction. However, many of these treatments lack evidence of effectiveness. A list of the most common ones is below:

topical products, i.e. creams and the like, which must be applied manually to the area in question constantly and daily for long periods of time;

massages;

pressotherapy: treatment based on external pressure on the patient's extremities or abdominal area through a specific device;

mesotherapy: drug administration technique via intraepidermal, superficial and deep intradermal and subcutaneous or hypodermic routes, has the advantages of being suitable for reducing doses of active ingredient that have a prolonged effect over time;

emulsion-lipolysis: pharmacological therapy that can be carried out by regional injection with hypothalamic phospholipids, carnitine, aminophylline, 2% lidocaine, saline;

lipoapoptosis: pharmacological therapy that can be carried out by regional injection with vitamin C, trivalent iron, 2% lidocaine, water for injections;

carboxytherapy: treatment that has its origins in thermal medicine and consists of the administration of carbon dioxide subcutaneously;

Osmotic lipoclasm: cutaneous biostimulation with platelet-rich plasma;

oxygenoclasia: technique of introducing pure medical oxygen into excess fat through a small needle; endermology system: technique designed in France in the 1970s in which a vacuum system and a plurality of rollers, mounted on a handpiece, exert pressure and lifting actions on the skin causing a redistribution of subcutaneous fat.

ultrasound therapy: treatment based on the effect produced by mechanical vibrations applied to the external tissues of the body by means of an ultrasonic transducer.

laser therapy: treatment that acts at different depth levels depending on the power of the transmitted rays.

diathermy: practice, without scientific validation, that maintains healing properties induced by the increase in temperature of some non-superficial areas of the body caused by the passage of electrical current.

As can be seen in the above list, which is not exhaustive, the market is saturated with treatments, among which there are some without certain results. Ineffectiveness is often due to the fact that, as explained above, the cause of cellulite and the disorders it entails remains unclear.

There are also several patents that claim treatments for cellulite care, such as, for example, US 2002147467, which provides, first, an exfoliating treatment to maximize the absorption of substances applied to the skin and, subsequently, the administration of mechanical vibrations associated with electrical pulsations in the area in question.

EP 1844750, on the other hand, claims an instrument for aesthetic treatments, therefore not of a medical nature, that reduces cellulite through ultrasonic vibrations with a frequency between 25 kHz and 50 kHz.

GB 2303552 discloses a medical device capable of reducing cellulite through ultrasound at a frequency of approximately 3.3 MHz that reaches a depth of 1.27-2.54 cm from the surface of the skin without overheating the piece.

The world patent, WO2007122656, property of Fenix S.r.l., leader in the market for anti-cellulite and anti-blemish therapies, as well as skin disorders in general, claims a computer-controlled vibrating device, used to treat parts of the body, whose characteristic The main function is to apply massages by inducing mechanical oscillations by means of a plurality of massage elements rotatably mounted on their own axis on a roller driven by an electric motor. The rotation of the roller around its central axis is controlled by the operator through an electronic control unit, when selecting a suitable program for the treatment to be carried out. The device described in this patent performs a massage based on the resistance opposed by the muscles located under the adipose layer.

Document ITUB20161062A1 discloses a compressive microvibration device comprising a first cylinder that is provided with a plurality of rotating balls arranged in a honeycomb shape, a second cylinder that is provided with a plurality of abrasive elements constituted by balls or ovals or rotating cylinders, an energy absorption sensor adapted to detect tissue resistance and software adapted to recognize the disturbance of the skin substrate and the anti-cellulite process.

An object of the present invention is to provide a device and a method of compressive microvibration personalized by the disorders suffered by each patient, which performs four actions synergistically by acting on the vascular system at the level of microcirculation, on the lymphatic system, on recompaction. tissue and on the analgesic effect, which also entails a muscular effect. The operation of this device is based on a sensor capable of detecting the type of disorder and specific software that determines the best therapy to follow on a case-by-case basis.

Description of the invention

The present invention is directed to an integrated device for the non-invasive personalized treatment of skin spots according to claim 1.

Subsidiary aspects of the invention are provided in the dependent claims.

Advantageously, the device integrates handpieces to perform different treatments that will be modulated depending on the disorder suffered by each patient. The treatment is especially effective in muscle contractures, cellulite, stretch marks, wrinkles, etc. The device comprises a portable console provided, at the top, with a plurality of recesses, each of them suitable for housing a corresponding handpiece.

The device comprises at least 3 handpieces and possibly an additional fourth handpiece. These handpieces are the following:

A first handpiece suitable for performing percussive treatment on the body and/or face of a patient by means of a rotor comprising a plurality of rotating elements installed on a corresponding plurality of semi-shafts installed equally spaced on the circumference of a ring nut. The rotor is included in a handpiece head, which has an opening protected by an elastic membrane designed to allow percussion to be carried out, avoiding direct contact between the rotating elements and the patient's epidermis. Included in the handle of the handpiece, which consists of two half-handles suitable for mutual coupling in this case, is the electric motor that controls the percussion frequency of said rotor. Said first handpiece is, therefore, advantageously suitable for causing microtrauma in the wrinkle groove, thus facilitating natural recovery and, therefore, a reduction in the depth of the wrinkle or the section on which it is applied. apply percussion. Likewise, in the preferred embodiment, said first handpiece has a moving head, inclined at an angle of 10°, provided with a point laser and a microcamera.

A second handpiece suitable for carrying out an ablative microvibration treatment on the patient's body, also obtaining an exfoliating effect. This object is achieved by means of a rotor comprising a plurality of rotating and vibrating elements suitable for vibrating and rotating in a convergent or divergent direction with respect to a median axis, in accordance with the arrangement of a plurality of pivots on which they adjust. said rotating elements. The middle axis of the rotor is occupied by an intermediate ring nut on which the operator can act advantageously to cause said rotating elements to impart a converging or divergent force on the patient's skin. The rotor is inserted into a housing provided with an open side, allowing contact between said rotating elements and the body of said patient, and a closed side facing the operator, comprising a pair of light indicators suitable for signaling to the operator. the converging or divergent direction of the rotating elements. The rotor is connected below an electric motor, integrated into the handle of the handpiece, which determines the frequency of rotation and vibration of the rotor. Said second handpiece is, therefore, advantageously suitable for expanding or compacting the skin tissue, relieving imperfections, such as wrinkles, stretch marks and scars, thus also obtaining an exfoliating effect, referred to as "lifting" in technical language. In In the preferred embodiment of the present invention, this exfoliating effect is obtained by a surface treatment of the outer surface of each rotating element having a predetermined roughness and density, or smoothness.

A third handpiece suitable for performing compressive microvibration treatment on the face of a patient by means of a rotor provided with rotating elements suitable for vibrating and rotating about a plurality of pins extending from a top ring nut to a nut lower annular ring. The rotor is inserted into a housing provided with an open side, which allows contact between said rotating elements and the patient's body, and with a closed side facing the operator, provided with a pressure indicator light that signals to the operator, the pressure with which you are pressing on the patient's face. Also in the case of the third handpiece, the rotor is driven by an electric motor integrated into the handle. Thus, said third handpiece is advantageously suitable for dilating the pores of the patient's epidermis.

A fourth handpiece, present only optionally with respect to the device of the invention, suitable for carrying out a vibro-transport treatment of active ingredients in depth on the body and/or face of a patient by means of a vibrating head suitable for vibrating, at a predetermined frequency driven by an electric motor integrated into the handle of the handpiece. Optionally, said fourth handpiece also comprises a reservoir of an active ingredient suitable for releasing the desired amount of cream, gel or mousse onto the patient's body upon pressing a special key by the operator. The use of the fourth handpiece after the application of at least one of the first three handpieces allows deep penetration of the desired active ingredient, which could otherwise only be achieved by injection, making the treatment non-invasive, painless and at least as effective.

All of these handpieces are powered by special electrical cables that connect them to said console. They can also be easily disconnected by activating special connection means that connect the distal ends of said power cables to the electric motors included in said handpieces.

Each handpiece also advantageously includes a rotation and vibration adjustment device and an electrical energy absorption sensor. The latter is suitable for detecting the amount of electrical energy absorbed by each handpiece in order to obtain the desired rotation and vibration of the corresponding rotors, communicating the detected data to a control unit programmed with specific software. When processing the data from said electrical energy absorption sensor, the control unit acts, in real time, on the frequency adjustment devices of the handpiece to obtain an immediate variation of the rotation and vibration frequency of said rotors, within a pre-established range between 20 Hz and 700 Hz, preferably between 40 Hz and 355 Hz, depending on the mechanical resistance provided by the patient's skin tissue in contact with the handpiece in use.

This device constitutes the main advantage offered by the present invention, since it greatly facilitates the operator's work by the possibility of automatically and immediately identifying and modifying the intensity of the treatment in areas affected by different muscle contractures or tissue alterations.

All data relating to the ongoing therapy is displayed and can be modified manually by the operator through a communication interface, preferably integrated into said console. In more detail, a method of using the device that is not part of the present invention consists of the following steps:

adjust the parameters, through said communication interface, based on the characteristics of the patient's tissue, age and musculature;

a test, in which, by grasping a handpiece and placing the relative rotor in contact with the patient's body or face, the relative electrical energy absorption sensor sends the detected data to the control unit integrated in the treatment device. By comparing the electrical energy absorption data and the vibration and rotation frequency data set by the operator, through the communication interface, the control unit communicates to the operator the correctness or incorrectness of the vibration frequency range and fixed rotations;

administering therapy, in which the operator covers the areas of the patient's body or face to be treated with one handpiece at a time according to a sequence pre-established by the type of treatment. In the preferred embodiment, the recesses in which the handpieces are housed are advantageously provided with means for retaining said handpieces suitable for releasing the handpieces only in the order pre-established by the therapy being carried out. During the treatment, the operator applies a predetermined pressure perpendicular to the patient's skin tissue and, in case the electrical energy absorption sensor, possibly combined with a pressure or motor revolutions sensor, of the handpiece in use , detects an area of greater mechanical resistance, for example, a muscle contracture, said control unit, which processes the data sent by said electrical energy absorption sensor, sends an order to increase the frequency of vibrations and rotations to the adjustment device frequency of the handpiece in use, until a lower mechanical resistance is detected.

At the end of the therapy, in a fourth step of controlling the homogeneity of the treatment in the area affected by the disorder or skin spot, the operator examines the redness of the skin due to the vascularization of the tissue induced by the treatment, with the to ensure that each area of the body or face has been treated evenly. A more scientific version of this last step of the machine's instructions for use that provides the presence of a temperature sensor for each handpiece, suitable for communicating, to the control unit of said device, the temperature variation of the tissues. patient's skin from the beginning of treatment.

Other embodiments of the device that make it even more advantageous both in terms of efficiency and comfort for the operator and the patient, provide the presence of at least one of the following devices:

a resistance inside said handpieces, suitable for heating the part of the handpiece that is in contact with the body or face of the patient, up to a predetermined temperature;

a resistance inside the gaps adequate to heat the corresponding handpieces before placing them in contact with the patient's body or face;

a device for disinfecting handpieces by means of a common infrared lamp.

Finally, the rotating elements of the handpieces may consist of balls, ovoids or cylinders, preferably balls, arranged in a honeycomb or V shape, made of non-allergenic silicone or gel with a hardness between 5 shore and 100 shore, preferably 35 shore.

In a variant of said rotating elements (balls), to the effects of the treatment described so far, already very advantageous, the additional beneficial effects of the "microvacuum" are added by virtue of the fact that the outer surface of said rotating elements It is provided with a plurality of spherical cap-shaped recesses suitable for creating a suction effect when pressed on the epidermis of the patient.

The advantages provided by the present invention will become clear in light of the description highlighted so far.

Likewise, they will be more evident thanks to the attached figures and the relative detailed description.

Description of the figures

The invention will hereinafter be described in at least one preferred embodiment, provided by way of non-limiting example, with reference to the attached figures, wherein:

FIGURE 1 shows a three-dimensional view of the device in a three-hole embodiment 1.1-1.2-1.3. Also shown is the optionally present fourth handpiece 7.

FIGURE 2(a) illustrates an exploded view of the first handpiece 2.

FIGURE 2(b) shows, in detail, an exploded view of the rotor 2.11 of the first handpiece 2.

FIGURE 3(a) shows an exploded view of the second handpiece 2.

FIGURE 3(b) shows a three-dimensional view of the rotor 3.10 of the second handpiece 3.

FIGURE 3(c) shows an exploded view of the aforementioned rotor 3.10.

FIGURE 4(a) illustrates an exploded view of the third handpiece 4.

FIGURE 4(b) shows an exploded view of the rotor 4.9 of the third handpiece 4.

FIGURE 4(c) shows an exploded view of the housing 4.4 of the third handpiece 4.

FIGURE 4(d) shows a three-dimensional view of the aforementioned rotor 4.9.

FIGURE 5 shows an exploded view of the fourth handpiece 7.

Detailed description of the invention

Now, the present invention will be illustrated purely by way of non-limiting or non-binding example, with reference to the figures illustrating some embodiments relating to the present inventive concept.

Referring to FIG. 1, shown in its entirety is the device object of the present invention in which there is a portable console 1 that contains a control unit (not visible) provided with a communication interface 5 and with three slots 1.1-1.2-1.3, preferably heated, each of which is suitable to accommodate a corresponding 2-3-4 handpiece.

Depending on the patient's disorder, the operator selects a range of vibration and rotation frequencies that the rotors 2.11-3.10-4.9 of the handpieces 2-3-4 will perform when placed on the patient's skin.

The correctness of said range is immediately verified by virtue of the fact that each 2-3-4 handpiece is provided with an electrical energy absorption sensor that communicates the appropriate detected data to detect the amount of electrical energy adequate to communicate the detected data to said control unit programmed with dedicated software suitable for processing the data coming from said electrical energy absorption sensors, possibly combined with a pressure or engine revolutions sensor, and to act accordingly, in real time, on the frequency adjustment devices of each handpiece 2-3-4 in order to obtain an immediate variation of the rotation and vibration frequency of said rotors 2.11-3.10-4.9, within a pre-established range between 20 Hz and 700 Hz, preferably between 40 Hz and 355 Hz, depending on the mechanical resistance provided by the patient's skin tissue upon contact with one of said handpieces 2-3-4;

Subsequently, the operator can proceed with therapy by covering the areas of the patient's body or face to be treated with one handpiece 2-3-4 at a time, for a preset time interval, applying a predetermined pressure perpendicular to the patient's skin tissue. In the spaces 1.1-1.2-1.3 of the console 1, there are retention means that release the handpieces 2-3-4 only in the order pre-established by the therapy being carried out, avoiding any possibility of error.

Each handpiece 2-3-4 has a rotor 2.11-3.10-4.9 formed by rotating elements 2.11.4-3.10.5-4.9.5 or balls arranged in a honeycomb or V shape, made of non-allergenic silicone or gel with a hardness equal to 35 shore.

In more detail, the first handpiece 2 is suitable for performing percussion treatment on the body and/or face of the patient. The balls 2.11.4 of the rotor 2.11 are installed on a corresponding plurality of axle shafts 2.11.2 equally spaced on the circumference of an annular nut 2.11.1. The rotor 2.11 is installed between a moving head that allows the movement of the membrane 2.2 and an angular support 2.5. Said head 2.2 is provided with a suitable elastic membrane to allow the execution of percussion, avoiding direct contact between the balls 2.11.4 and the patient's epidermis. The angular support 2.5, for its part, is mounted, by means of a suitable insert 2.6, on an electric motor 2.7 that controls the percussion frequency of said rotor 2.11, powered by a special cable, connected through common connection means 2.8 , connected to said console 1. The angular support 2.5, the insert 2.6, the electric motor 2.7 and the connection means 2.8 are arranged in a pair of half handles 2.9-2.10, which are suitable for coupling together in order to constitute the gripping handle of said first handpiece 2.

The second handpiece 3 is suitable for carrying out ablative microvibration treatment on the patient's body. The balls 3.10.5 of the rotor 3.10 vibrate and rotate in a convergent or divergent direction according to the arrangement of a plurality of pins 3.10.9 in which the balls 3.10.5 are fitted. In more detail, said pins 3.10.9 extend from an upper ring nut 3.10.2 to an intermediate ring nut 3.10.4 and from said intermediate ring nut 3.10.4 to a lower ring nut 3.10.6. The rotation of said intermediate ring nut 3.10.4 by said operator modifies the configuration of said pins 3.10.9 to cause the balls 3.10.5 to converge or diverge towards or from said intermediate ring nut 3.10.4. The rotor 3.10 rotates around an upper axle shaft 3.10.3 and a lower axle shaft 3.10.8 and is inserted into a housing 3.4 provided with an open side and a closed side. The open side allows contact between the balls 3.10.5 and the patient's body, while the closed side is oriented towards the operator and includes a pair of light indicators 3.3 suitable for signaling to the operator the converging or diverging direction of the balls 3.10. .5 on the patient's body. The rotor 3.10 is connected, at the top by means of a pin 3.10.1, to a bearing 3.2 and, finally, to an upper plug 3.1 of the second handpiece 3. At the bottom, on the other hand, the rotor 3.10 is connected to an electric motor 3.5, integrated in the handle 3.6, powered by a special cable, connected by common connection means 3.7 included in a lower cover 3.8.

The third handpiece 4 is suitable for performing a compressive microvibration treatment on the patient's face. The balls 4.9.5 of the rotor 4.9 vibrate and rotate around a plurality of pins 4.9.4 extending from an upper ring nut 4.9.2 to a lower ring nut 4.9.6. The rotor 4.9 rotates, at a preset frequency, around an axis of rotation 4.9.3 and is inserted into a housing 4.4 provided with an open side and a closed side. The open side allows contact between said balls 4.9.5 and the body of said patient; The closed side faces the operator and includes a pressure indicator light 4.4.1 suitable for indicating to the operator the pressure with which the handpiece 4 is being pressed on the patient's face. The rotor 4.9 is connected, in the upper part by means of a pin 4.9.1, to a bearing 4.2 and finally to an upper cover 4.1, while in the lower part it is connected, by means of a joint 4.9.7, to an electric motor 4.6, integrated in a handle 4.5, powered by a special cable connected through common connection means 4.8 included in a lower cover 4.7.

At the end of the treatment, the operator verifies whether each tissue has been treated homogeneously by monitoring the increase in skin temperature, due to the vascularization of the tissue induced by the treatment, carried out by the control unit that processes the treatment data. temperature detected by a temperature sensor of the handpiece 2 3-4 in use.

Finally, it is evident that the invention described so far may be subject to modifications, additions or variants evident to a person skilled in the art, without departing from the scope of protection delimited by the attached claims.

Claims (8)

1. An integrated device for the non-invasive personalized treatment of skin spots, suitable to be handled by an operator in order to perform a treatment on the body and/or face of a patient for the reduction of muscle contractures , cellulite, stretch marks, wrinkles and other stains, said device comprises a portable console (1), provided, in the upper part, with a plurality of holes (1.1-1.2-1.3) suitable for housing, each of them, a piece corresponding handpiece (2-3-4), suitable to be grasped by said operator in order to perform a step of a pre-established treatment on the body and/or face of said patient; said handpieces (2 3-4) comprise: - a first handpiece (2) suitable for performing percussion treatment on the body and/or face of a patient by means of a rotor (2.11) comprising a plurality of rotating elements (2.11.4) installed in a corresponding plurality of equidistant semi-shafts (2.11.2) on the circumference of an annular nut (2.11.1); said rotor (2.11) is installed between a moving head (2.2), provided with a point and micro-camera laser, of said first handpiece (2) and an angular support (2.5); said head (2.2) is provided with an elastic membrane suitable to allow percussion to be carried out, avoiding direct contact between the rotating elements (2.11.4) and the patient's epidermis; said angular support (2.5) is coupled, by means of a suitable insert (2.6), to an electric motor (2.7) that controls the percussion frequency of said rotor (2.11); said electric motor (2.7) is powered by a special cable, connected to said first handpiece (2) by means of common connection means (2.8), connected to said console (1); said angular support (2.5), said insert (2.6), said electric motor (2.7) and said connection means (2.8) are arranged in a pair of half handles (2.9-2.10) suitable for coupling mutually in order to form the handle for gripping said first handpiece (2); said first handpiece (2) is suitable for causing microtrauma in the wrinkle groove, thus facilitating natural recovery and, therefore, a reduction in the depth of the wrinkle; - a second handpiece (3) suitable for performing an ablative microvibration treatment on the patient's body by means of a rotor (3.10) comprising a plurality of rotating elements (3.10.5) suitable for vibrating and rotating in one direction mutually convergent or divergent depending on the arrangement of a plurality of pins (3.10.9) on which said rotating elements (3.10.5) are mounted; said pins (3.10.9) extend from an upper ring nut (3.10.2) to an intermediate ring nut (3.10.4) and from said intermediate ring nut (3.10.4) to a lower ring nut (3.10.6) ; the rotation of said intermediate ring nut (3.10.4) by said operator is suitable to modify the configuration of said pins (3.10.9) in order to ensure that said rotating elements (3.10.5) converge or diverge towards or from said intermediate ring nut (3.10.4); said rotor (3.10) is suitable for rotating, at a pre-established frequency, around an upper semi-axis (3.10.3) and a lower semi-axis (3.10.8); said rotor (3.10) is inserted into a housing (3.4) provided with an open side and a closed side; said open side allows contact between said rotating elements (3.10.5) and the body of said patient; said closed side is oriented towards the operator and comprises a pair of light indicators (3.3) suitable for signaling to the operator the converging or diverging direction of the rotating elements (3.10.5) on the patient's body; said rotor (3.10) is connected, in the upper part by means of a pin (3.10.1), to a bearing (3.2) and finally to an upper cover (3.1) of said second handpiece (3); said rotor (3.10) is connected, at the bottom, to an electric motor (3.5) integrated into a handle (3.6); said electric motor (3.5) is suitable for determining the frequency of rotation and vibration of said rotor (3.10) and is powered by a special cable, connected to said second handpiece (3) by means of common connection means (3.7) included within a lower cover (3.8) connected to said handle (3.6), said power cable is connected to said console (1); said second handpiece (3) is suitable for expanding or compacting the skin tissue, relieving imperfections such as wrinkles, stretch marks and scars, also obtaining an exfoliating effect called "stretching"; - a third handpiece (4) suitable for performing a compressive microvibration treatment on the face of a patient by means of a rotor (4.9) comprising a plurality of rotating elements (4.9.5) suitable for vibrating and rotating around a plurality of pins (4.9.4) to which said rotating elements (4.9.5) are coupled. 5); said pins (4.9.4) extend from an upper ring nut (4.9.2) to a lower ring nut (4.9.6); said rotor (4.9) is suitable to rotate, at a pre-established frequency, around an axis of rotation (4.9.3); said rotor (4.9) is inserted into a housing (4.4) provided with an open side and a closed side; said open side allows contact between said rotating elements (4.9.5) and the body of said patient; said closed side is oriented towards the operator and includes a luminous pressure indicator (4.4.1) suitable to indicate to the operator the pressure with which the handpiece (4) is being pressed on the patient's face; said rotor (4.9) is connected, in the upper part by means of a pin (4.9.1), to a bearing (4.2) and finally to an upper cover (4.1) of said third handpiece (4); said rotor (4.9) is connected, at the bottom by means of a joint (4.9.7), to an electric motor (4.6) integrated into a handle (4.5); said electric motor (3.5) is suitable for determining the frequency of rotation and vibration of said rotor (4.9) and is powered by means of a special cable connected to said third handpiece (4) by means of common connection means (4.8 ) included in a lower cover (4.7) connected to said handle (4.5), said power cable is connected to said console (1); said third handpiece (4) is suitable for dilating the pores of the patient's epidermis; - at least one rotation and vibration adjustment device, integrated into each handpiece (2-3-4), suitable for controlling the frequency of said rotations and vibrations of said rotors (2.11-3.10-4.9) of said handpieces hand (2 3-4); - at least one electrical energy absorption sensor for each handpiece (2-3-4), suitable for detecting the amount of electrical energy absorbed by each handpiece (2-3-4) in order to obtain the desired rotation and vibration of the relative rotors (2.11-3.10-4.9); said electrical energy absorption sensor is suitable for communicating the detected data to - a control unit programmed with dedicated software suitable for processing the data from said electrical energy absorption sensors and acting accordingly, in real time, on said frequency adjustment devices of each handpiece (2-3- 4) in order to obtain an immediate variation of the rotation and vibration frequency of said rotors (2.11-3.10-4.9), within a pre-established range between 20 Hz and 700 Hz, preferably between 40 Hz and 355 Hz, depending of the mechanical resistance provided by the patient's skin tissue in contact with one of said handpieces (2-3-4); - a communication interface (5), preferably integrated into said console (1), suitable to allow an operator to receive information related to the treatment in progress in real time and configure the respective parameters, including the frequency of vibrations and vibrations. rotations that must be administered to the patient through said handpieces (2-3-4), wherein the device further comprises means for retaining said handpieces (2-3-4-7) suitable for releasing the restriction between a gap (1.1-1.2-1.3) and the corresponding handpiece (2-3-4- 7) only in the order pre-established by the therapy being performed. 2. The integrated device for the non-invasive personalized treatment of skin spots, according to claim 1 above, characterized in that it comprises at least a fourth handpiece (7) suitable for carrying out a vibro-transport treatment of active ingredients in depth in the body and/or face of a patient by means of a head (7.1) suitable for vibrating taking advantage of square wave electrical impulses, at a pre-established frequency driven by an electric motor (7.4) inserted in a handle (7.3) connected, at the top, to a support (7.2) from which said vibrating head (7.1) protrudes; said electric motor (7.4) is powered by a special cable, connected to said fourth handpiece (7) by means of common connection means (7.6) included within a lower cover (7.5) connected to said handle (7.3), said power cable being connected to said console (1). 3. The integrated device for the non-invasive personalized treatment of skin spots, according to claim 2 above, characterized in that said fourth handpiece (7) comprises a reservoir of active ingredient suitable for releasing the desired amount of cream, gel or mousse on the patient's body by pressing an appropriate key said operator. 4. The integrated device for the non-invasive personalized treatment of skin spots, according to any of the preceding claims, characterized in that said handpieces (2-3-4-7) are provided with an internal resistance suitable for heating the portion of said handpiece (2-3-4-7) that is in contact with the body or face of the patient when said handpiece (2-3-4-7) is in use, up to a preset temperature. 5. The integrated device for the non-invasive personalized treatment of skin spots, according to any of the preceding claims 1 to 3, characterized in that each gap (1.1-1.2-1.3) is provided with an internal resistance suitable for heating the corresponding handpieces (2-3-4-7) before placing them in contact with the patient's body or face. 6. The integrated device for the non-invasive personalized treatment of skin spots, according to any one of the preceding claims, characterized in that each handpiece (2-3-4-7) is provided with a temperature sensor suitable for communicating, to the control unit of said device, the temperature variation of the patient's skin tissues since the beginning of the treatment, said control unit communicating the value of said variation through said communication interface (5). 7. The integrated device for the non-invasive personalized treatment of skin spots, according to any of the preceding claims, characterized in that said rotating elements (2.11.4-3.10.5-4.9.5) of said handpieces (2-3-4) consist of balls, ovoids or cylinders, arranged in a honeycomb or V shape; Said rotating elements (2.11.4-3.10.5-4.9.5) are made of non-allergenic silicone or gel with a hardness between 5 shore and 100 shore, preferably 35 shore. 8. The integrated device for the non-invasive personalized treatment of skin spots, according to any of the preceding claims, characterized in that said rotating elements (2.11.4-3.10.5-4.9.5) of said handpieces (2 -3-4) have the outer surface provided with a plurality of spherical cap-shaped recesses, suitable for creating a suction effect when pressed on the epidermis of the patient; the outer surface of said rotating elements (2.11.4-3.10.5-4.9.5) is provided with a suitable surface treatment to obtain a predetermined surface roughness in order to obtain the desired exfoliating effect on the patient's epidermis.